The antifibrotic potential of a sustained release formulation of a PDGFβ-receptor targeted rho kinase inhibitor

J Control Release. 2019 Feb 28:296:250-257. doi: 10.1016/j.jconrel.2018.12.039. Epub 2019 Jan 22.

Abstract

Rho kinase activity in hepatic stellate cells (HSCs) is associated with activation, transformation and contraction of these cells, leading to extracellular matrix production and portal hypertension in liver cirrhosis. Inhibition of rho kinase activity can reduce these activities, but may also lead to side effects, for instance systemic hypotension. This can be circumvented by liver-specific delivery of a rho kinase inhibitor to effector cells. Therefore, we targeted the rho kinase inhibitor Y27632 to the key pathogenic cells in liver fibrosis, i.e. myofibroblasts including activated HSCs that highly express the PDGFβ-receptor, using the drug carrier pPB-MSA. This carrier consists of mouse serum albumin (MSA) covalently coupled to several PDGFβR-recognizing moieties (pPB). We aimed to create a prolonged release system of such a targeted construct, by encapsulating pPB-MSA-Y27632 in biodegradable polymeric microspheres, thereby reducing short-lasting peak concentrations and the need for frequent administrations. Firstly, we confirmed the vasodilating potency of PDGFβ-receptor targeted Y27632 in vitro in a contraction assay using HSCs seeded on a collagen gel. We subsequently demonstrated the in vivo antifibrotic efficacy of pPB-MSA-Y27632-loaded microspheres in the Mdr2-/- mouse model of progressive biliary liver fibrosis. A single subcutaneous microsphere administration followed by organ harvest one week later clearly attenuated liver fibrosis progression and significantly suppressed the expression of fibrosis related genes, such as several collagens, profibrotic cytokines and matrix metalloproteinases. In conclusion, we demonstrate that polymeric microspheres are suitable as drug delivery system for the sustained systemic delivery of targeted protein constructs with antifibrotic potential, such as pPB-MSA-Y27632. This formulation appears suitable for the sustained treatment of liver fibrosis and possibly other chronic diseases.

Keywords: Biologicals; Controlled release; Drug targeting; Liver fibrosis; Polymeric microspheres; Protein delivery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • ATP-Binding Cassette Sub-Family B Member 4
  • Amides / administration & dosage*
  • Animals
  • Cell Line
  • Delayed-Action Preparations / administration & dosage
  • Drug Carriers / administration & dosage*
  • Female
  • Humans
  • Liver Cirrhosis / drug therapy*
  • Liver Cirrhosis / metabolism
  • Mice, Knockout
  • Microspheres
  • Protein Kinase Inhibitors / administration & dosage*
  • Pyridines / administration & dosage*
  • Receptor, Platelet-Derived Growth Factor beta / metabolism*
  • rho-Associated Kinases / antagonists & inhibitors*

Substances

  • ATP Binding Cassette Transporter, Subfamily B
  • Amides
  • Delayed-Action Preparations
  • Drug Carriers
  • Protein Kinase Inhibitors
  • Pyridines
  • Y 27632
  • Receptor, Platelet-Derived Growth Factor beta
  • rho-Associated Kinases